Individual
MISS TARA BETH MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1701 CANTRELL RD, LITTLE ROCK, AR 72201-1111
(501) 372-1194
Mailing address
760 CALVEN NUTT RD, MALVERN, AR 72104-5982
(870) 897-1026
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 383
AR
Other
Enumeration date
02/12/2007
Last updated
01/17/2017
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